Participant Details

Name *

First

Last

Athlete OR Volunteer *

Athlete
Volunteer

Please select the appropriate age group for your athlete. Select 'Volunteer' if you are NOT an athlete.

Athlete Age Group *

8 - 16 Years Old
17-20 Years Old
21+ Years Old

Gender *

Birthday *

Please enter the date of birth for your athelete.

Athlete Status: *

New Athlete
Returning Athlete
Skills Team
Unified Partner Team

Athlete Skill Level: *

Skills
Designated Coach Pitch
Unified Team

Volunteer Status: *

New Unified Partner
Returning Unified Partner
New Coach
Returning Coach
New Volunteer/Chaperone
Returning Volunteer/Chaperone

Shirt Size *

Youth XS
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL

A completed Medical Form will be required prior to practicing. *

Medical Form has been submitted.
Will submit Medical Form.
Need to complete Medical Form.
Not Required - If registered as a Coach-Chaperone-Unified Partner.

If you have selected 'Need to complete Medical form' you may use the below link to access the SOIN site to access the online Medical form.

Online Medical Form

Special Olympics Indiana Online Medical Form

CONTACT INFORMATION

Please provide contact information for communication and notifications from the coaches.

Contact Information - Required if Athlete is a Minor (under the age of 18) *

Parent
Guardian

Please indicate the Contact Information type.

Primary Email

Primary Phone

Primary phone number

Please select your preferred contact method

Email Message
Text Message

Mailing Address

Address Line 1

City

State

Zip Code

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Email *

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